Individual
JOY ELIZABETH GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FSP
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 519-0611
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
05/19/2025
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